Thứ Hai, 16 tháng 2, 2009

February 14, 2009 4:00 PM PST 'Facebook fugitive' found dead

by Natalie Weinstein

A British man, suspected of brutally killing a former girlfriend, was found hanged in Manchester, various U.K. newspapers reported.

The body of George Appleton, 40, who was dubbed the "Facebook fugitive" among other nicknames by the British press, was discovered Thursday. The nickname is related to police warnings regarding his use of social-networking sites, including Facebook, to meet women.

Police had been searching for Appleton since his former girlfriend, Clare Wood, was found strangled and burned on February 6, according to the Manchester Evening News. She had recently accused him of sexual assault. He was out on bail.

After her body was found, police issued a list of sites frequented by and computer usernames associated with Appleton and warned women not to meet him, according to The Independent.

Appleton, who had a criminal history related to stalking and violence against women, had served three years earlier this decade for harassment with fear of violence related to another woman and had served six months after breaching a restraining order related to a different woman, according to The Sun.

The chilling details of crimes, both those alleged and ones he was convicted of, can be found here, here and here in the Manchester Evening News.

Natalie Weinstein is an associate editor who works out of Austin, Texas. She spent a decade as a reporter and editor in the newspaper industry before joining the CNET News staff in 2000. E-mail Natalie.

Monday, 16 February 2009 Amid nurse shortage, hospitals focus on retention

By RASHA MADKOUR, Associated Press Writer Rasha Madkour, Associated Press Writer Sun Feb 15

MIAMI – Newly minted nurse Katie O'Bryan was determined to stay at her first job at least a year, even if she did leave the hospital every day wanting to quit.

She lasted nine months. The stress of trying to keep her patients from getting much worse as they waited, sometimes for 12 hours, in an overwhelmed Dallas emergency room was just too much. The breaking point came after paramedics brought in a child who'd had seizures. She was told he was stable and to check him in a few minutes, but O'Bryan decided not to wait. She found he had stopped breathing and was turning blue.

"If I hadn't gone right away, he probably would have died," O'Bryan said. "I couldn't do it anymore."

Many novice nurses like O'Bryan are thrown into hospitals with little direct supervision, quickly forced to juggle multiple patients and make critical decisions for the first time in their careers. About 1 in 5 newly licensed nurses quits within a year, according to one national study.

That turnover rate is a major contributor to the nation's growing shortage of nurses. But there are expanding efforts to give new nursing grads better support. Many hospitals are trying to create safety nets with residency training programs.

"It really was, 'Throw them out there and let them learn,'" said University of Portland nursing professor Diane Vines. The university now helps run a yearlong program for new nurses.

"This time around, we're a little more humane in our treatment of first-year grads, knowing they might not stay if we don't do better," she said.

The national nursing shortage could reach 500,000 by 2025, as many nurses retire and the demand for nurses balloons with the aging of baby boomers, according to Peter Buerhaus of Vanderbilt University Medical Center. The nursing professor is author of a book about the future of the nursing work force.

Nursing schools have been unable to churn out graduates fast enough to keep up with the demand, which is why hospitals are trying harder to retain them.

Medical school grads get on-the-job training during formal residencies ranging from three to seven years. Many newly licensed nurses do not have a similar protected period as they build their skills and get used to a demanding environment.

Some hospitals have set up their own programs to help new nurses make the transition. Often, they assign novices to more experienced nurses, whom they shadow for a few weeks or months while they learn the ropes. That's what O'Bryan's hospital did, but for her, it wasn't enough.

So more hospitals are investing in longer, more thorough residencies. These can cost roughly $5,000 per resident. But the cost of recruiting and training a replacement for a nurse who washed out is about $50,000, personnel experts estimate.

One national program is the Versant RN Residency, which was developed at Childrens Hospital Los Angeles and since 2004 has spread to 70 other hospitals nationwide. One of those, Baptist Health South Florida in the Miami area, reports cutting its turnover rate from 22 percent to 10 percent in the 18 months since it started its program.

The Versant plan pairs new nurses with more experienced nurses and they share patients. At first, the veterans do the bulk of the work as the rookies watch; by the end of the 18-week training program, those roles are reversed.

The new nurses must complete a 60-item checklist. They must learn how to put in an IV line and urinary catheter; interpret different heart rhythms and know how to treat them; monitor patients on suicide watch and do hourly checkups on very critically ill patients; know how to do a head-to-toe physical assessment on a patient, as well as how to inform families about the condition of their loved one.

For Yaima Milian, who's currently in the program at Baptist, this is markedly different from the preparation she got at her first hospital in New Jersey. She left after a six-week orientation because she didn't feel ready to work solo.

While Milian was paired with a more experienced nurse at the New Jersey hospital, they didn't see patients together; they split the workload. Her first week on the job, Milian was charged with caring for several patients with complicated issues — those on ventilators and with chest tubes — and she felt thoroughly unprepared.

"It just didn't feel right, it felt very unsafe," Milian said.

Besides the residency's professional guidance, which includes classroom instruction, new nurses also get personal support from mentors — people they can call after a bad day or to get career advice. The new nurses also gather with their peers for regular debriefing, or "venting" sessions.

"Here you have this group that is pretty much experiencing the same things you're experiencing," Milian said, "and it makes you feel better."

To be sure, not all the nurses who leave do so because of a rocky transition. But for nurses who do leave because of stress, these programs seem to help.

The American Association of Colleges of Nursing and the University HealthSystem Consortium teamed up in 2002 to create a residency primarily for hospitals affiliated with universities. Fifty-two sites now participate in that yearlong program and the average turnover rate for new nurses was about 6 percent in 2007.

"We believe all new graduates should be given this kind of support system," said Polly Bednash, the nursing association's executive director. "We are facing downstream a horrendous nursing shortage as a large number of nurses retire from the field... So you need to keep the people you get and keep them supported."

The federal government has jumped on the bandwagon. Since 2003, it has awarded $17 million in grants for 75 hospitals to start first-year training programs.

The National Council of State Boards of Nursing is considering a standardized transition program. It cited a study showing a link between residencies and fewer medical errors, but also pointed to the inconsistency among current efforts.

That's something O'Bryan, the Dallas nurse, knows about. Her hospital — which she declined to identify because she didn't want to be seen as complaining about a former employer — had a three-month program, in which she attended weekly classes and was assigned a nurse to shadow. After that period was over, though, O'Bryan was abruptly alone, even as she continued to face new situations that she wasn't sure how to handle.

"When things are going good and I'm not overwhelmed and I'm able to help people, I love it," she said, recalling the gratification of seeing a bedridden patient finally manage to take a few steps.

"There are always those moments," she said, "but they're interrupted pretty quickly."

The 27-year-old is currently looking for a new job. She's not sure it will be in nursing.

___

American Association of Colleges of Nursing: http://www.aacn.nche.edu/

Monday, 16 February 2009 Homes most affordable in five years

February 16, 2009 12:36pm

homepiggybank
Affordable ... average monthly home loan repayments fell 26 per cent to $2056 in the December quarter / File.
  • Lower interest rates boost affordability
  • Opportunity for first home buyers
  • Need $70,000 income for modest home

THE Australian dream of owning a home is more affordable now than it has been for five years following lower interest rates and greater Government subsidies, a report says.

The Housing Industry Association and Commonwealth Bank First Home Buyer Affordability index improved by 39.2 per cent to 153.6 points in the December quarter from 110.3 index points for the September quarter.

First home buyers last had housing this affordable in the March quarter 2003, according to the index.

HIA chief executive Chris Lamont said lower mortgage rates and the boost to the first home owners scheme made it easier to buy a house.

"For would be first home buyers, conditions have improved significantly and clearly many Australians are taking up the opportunity to get into home ownership,'' Mr Lamont said in a statement.

"Cuts with interest rates and the first home owners grant have made a large impact.''

The Reserve Bank of Australia (RBA) lowered the cash rate by three percentage points to a six-year-low of 4.25 per cent in the last four months of 2008.

And the central bank cut the cash rate another one percentage point to a 45-year-low of 3.25 per cent on February 3 in a bid to cushion the domestic economy from a possible recession.

Commercial banks have lowered their standard variable mortgage rates by an average 3.75 percent points in response since September last year.

Repayments on an average home loan fell by 26 per cent to $2,056 a month by the end of the December, from $2796 the previous quarter.

In mid-October, the Federal Government doubled the first home owners grant to $14,000 for established dwellings and tripled it to $21,000 for newly built homes until June 30.

Households would need an income around $70,000 to buy a modest home, the report said.

"Previously, a household would have to be earning in the order of $85,000 to afford a modestly priced home without going into severe mortgage stress,'' Mr Lamont said.

"The improvement in housing affordability means those on a more modest income can now contemplate a home of their own.''

Buying a home was more affordable in all capital cities and regional areas during the December quarter, the report said, with the largest improvement occurring in Perth, Brisbane and regional Western Australia.

Monday, 16 February 2009 Obama Opts Against ‘Car Czar’; Geithner, Summers to Head Team

By John Hughes

Feb. 16 (Bloomberg) -- President Barack Obama opted against naming a “car czar,” instead asking Treasury Secretary Timothy Geithner and White House economic adviser Lawrence Summers to head a task force on revamping the U.S. auto industry, according to people familiar with the decision.

Ron Bloom, a United Steelworkers union adviser and former Lazard Ltd. vice president, will join administration members on the team, according to the two people, who declined to be named because the announcement hasn’t been made publicly.

The task force puts an end to reports Obama would recruit a well-known figure from outside to serve as the so-called car czar. The president was under pressure to say who would handle the issue before tomorrow, when General Motors Corp. and Chrysler LLC must give progress reports on plans to restructure as a condition of $17.4 billion in U.S. Treasury loans.

“It’s going to be something that’s going to require sacrifice not just from the auto workers, but also from creditors, from shareholders and the executives who run the company,” senior White House adviser David Axelrod said yesterday on NBC’s “Meet the Press.”

After Congress failed to approve a bailout for the automakers, former President George W. Bush’s administration authorized loans Dec. 19. That effectively made the Treasury secretary the car czar, with responsibility for making sure the companies meet deadlines and authority to revoke the loans.

Geithner will remain Obama’s official “designee” to oversee the restructuring. The Treasury secretary will have authority to recall the aid if the automakers fail to show they have a plan by March 31 to become profitable.

Cabinet Departments

Representatives from Cabinet departments and White House offices will serve on the Presidential Task Force on Autos along with Bloom, who was described by administration officials as an expert in restructuring who also has experience in manufacturing and in working with unions.

Absent from the administration’s team is Steven Rattner, co- founder of private-equity firm Quadrangle Group LLC in New York. He had been under consideration for the post of car czar, people familiar with the matter said last month.

Members of Congress, automakers and industry analysts have spent weeks discussing who might be chosen from outside Washington to serve as the car czar and what expertise that person should bring to the task.

Democrats’ Letter

Five Senate Democrats, including Debbie Stabenow of Michigan, wrote a letter on Feb. 5 urging Obama to name an expert in manufacturing as part of a panel to help oversee the auto loans.

“This advisory group provides a tremendous opportunity to bring together our country’s greatest manufacturing leaders to help our domestic automakers create the vehicles and technology of the future,” the senators said in the letter.

Bloom, who will be a senior adviser at the Treasury, has experience with an issue at the heart of the restructuring -- health-care costs. Bloom helped negotiate the Goodyear Tire & Rubber Co. health-care fund, union spokesman Wayne Ranick has said. In 2005, Bloom met with UAW officials who were then evaluating GM’s request for health-care concessions.

Terms of the Dec. 19 loan agreements require GM and Chrysler to persuade the United Auto Workers to accept half of scheduled payments into a union-run retiree health-care fund next year in equity instead of cash.

Airline Pilots

Bloom counseled airline pilots in the $4.9 billion employee buyout of UAL Corp., parent of United Airlines. That 1994 deal included wage and work-rule concessions in exchange for 55 percent of the company.

He also helped steelworkers negotiate an agreement with Goodyear in 2003. The deal preserved 85 percent of union jobs at 12 U.S. plants in exchange for agreements on productivity improvements, health-care cuts and other issues to save Goodyear at least $1.15 billion.

The Presidential Task Force on Autos will include officials from the Treasury, Labor, Transportation, Commerce and Energy departments, as well as from the National Economic Council, the White House Office of Energy and Environment, the Council of Economic Advisers and the Environmental Protection Agency.

The industry’s preference for an overseer with a mastery of its workings and culture was voiced by Bill Ford, executive chairman of Ford Motor Co., on Jan. 11.

“It would be really helpful to have somebody in there who would take the time to have a deep understanding of our industry,” Ford said then at a dinner with reporters covering the Detroit auto show.

To contact the reporters on this story: John Hughes in Washington at jhughes5@bloomberg.net.

Pinki hopes to smile at Oscars

Slumdog Millionaire - Danny Boyle's film based on the slums of Mumbai - may be the favourite at the Oscars, but a short documentary on an Indian girl born with a cleft lip is also in the race for a trophy.

Smile Pinki - a 39-minute documentary by American director Megan Mylan - chronicles the story of eight-year-old Pinki's journey from being a social outcast in her village to her acceptance - and even deification - by society.

Smile Pinki is one of the four short documentaries nominated for the Academy Awards.

A 90-minute drive from the holy Hindu city of Varanasi takes us to Rampur Dhavaia village in Mirzapur district in the northern Indian state of Uttar Pradesh.

To get here, we take a turn off the main highway and drive for about 20 minutes on a dirt road.

We pass several huts to our left, all made of mud with thatched roofs, and stop when we reach a house with white trees painted on its outside walls.

'Unlikely star'

This is where Pinki lives - the protagonist of Smile Pinki.

"I have to go to America, and bring back the Oscar," Pinki tells me.

I ask her if she knows what an Oscar is - she stares at me and then shakes her head in the negative.

Pinki, before the operation (Picture: Dr Subodh Kumar Singh)Pinki was teased and ostracised by society...

This wispy eight-year-old girl has become an unlikely star in this village.

Born with a cleft lip in an impoverished family, the first few years of Pinki's life were spent in abject unhappiness.

"When she was born, her lip was torn. It looked awful. Even I couldn't bear to look at her, how could I blame my neighbours," says mother Shimla Devi.

"Every one used to tease her, they used to call her hothkati - the girl with the torn lip."

At school, she was shunned by the children. She was different and no-one wanted to play with her.

"Everyone called me hothkati. I would feel very bad. I would feel hurt and get very angry. Sometimes I would abuse them. Now no one calls me a hothkati. They all call me Pinki now," she says.

'Better dead'

The family owns a tiny plot of land and father Rajendar Sonkar works mostly as a day labourer to support his wife and five young children.

Barely managing to survive on his meagre income, he couldn't even dream of consulting a doctor for his daughter.

"I used to think that she would be better off dead. I used to wonder who would marry her? Where would I find the money to pay for her dowry? At school everyone teased her. At home, family and friends talked about her as if she was a freak," says Mr Sonkar.

Pinki (Picture: Dr Subodh Kumar Singh)
... but now the smile is back

Pinki's life took a turn for the better when she was spotted by a social worker. Dr Subodh Kumar Singh is the plastic surgeon at the GS Memorial hospital in Varanasi who carried out Pinki's surgery.

"Our social workers go from village to village, into the interiors, to find cleft patients. During one such visit, they reached Pinki's village. Megan Mylan, the American director, was also with them," Dr Singh says.

"They took her photographs and brought them to me. When I saw her photograph, I said this was the girl who was going to be our main [film] lead."

Treatment at the GS Memorial hospital is free and sponsored by the New York-based global charity, the Smile Train.

India has a backlog of more than a million people waiting with cleft lips and every year 35,000 new patients are born.

Since April 2004, Dr Singh has performed more than 13,000 surgeries.

Every day, he sees at least 20 new patients every day and does as many surgeries.

Beauty parlour

Pinki was six at the time she was taken for surgery and mother says Dr Singh has performed a miracle.

Pinki with Dr Subodh Kumar Singh
Dr Singh says he was impressed by Pinki-the-patient

"Her parents wanted her lip to be fixed from the time she was born, but they had no means. They couldn't afford it. Pinki had grown up to six years, she could see her face in the mirror, and she always wanted it fixed," Dr Singh says.

He says he was impressed by Pinki-the-patient.

"She talked jubilantly with all my staff at the hospital. And after the surgery when she saw her face for the first time in the mirror, she was really very happy. She could not smile because of the pain in the lip, but her eyes were saying so many things."

Dr Singh says Pinki's surgery is not yet over. She needs some more procedures that will have to be done in a few years' time.

Pinki is back at the hospital for a check up. She is due to travel shortly with her father and Dr Singh to Los Angeles for the Oscar ceremony.

Before returning to her village, she is sent off to a beauty parlour for a hair cut.

At the parlour, her inquisitive eyes take in everything around her.

She was here last night too, but she wouldn't let the hairdresser come near her.

Pinki (in the front) with her family
The Sonkar family says Dr Singh is a miracle man
Today, she's more amiable. She even smiles and lets the saloon staff take her pictures on their cell phone cameras.

Back in the village school, Pinki's star status is easily visible.

She is immediately surrounded by a group of children and one girl hugs her. Pinki smiles.

It's difficult to imagine that until a couple of years ago, she had no friends and that she was ostracised and teased. Today, she's the star.

Says schoolteacher Vidyananda: "All the children here look up to her. Everyone here is waiting with for the Oscar ceremony. People in the village are lining up to touch her feet.

"Many say she is Dhana Lakshmi - the goddess of wealth. We are hoping she will win the Oscar and our village will benefit from it. We are praying for her victory."

Pinki's father is confident they will win the Oscar. But mother Shimla Devi plays down the expectation. For her, she says, the biggest award is Pinki's new found smile. By Geeta Pandey BBC News, Mirzapur

Monday, 16 February 2009 Mexican navy confiscates 7 tons of cocaine

From Mario Gonzalez
CNN

MEXICO CITY, Mexico (CNN) -- The Mexican navy confiscated 7 tons of cocaine being transported on a fishing vessel in international waters in the Pacific Ocean, the navy secretary said.

The fishing boat "Olaf" was intercepted over the weekend by an ocean-going patrol in an operation coordinated with the U.S. Coast Guard, Navy Secretary Francisco Saynez said Sunday. Five crew members aboard the ship were arrested and were under the jurisdiction of Mexican authorities.

The drug bust confirms that the Mexican Pacific continues to be a principal route for cocaine trafficking, Saynez said. In October 2007, the Mexican navy confiscated the largest shipment of cocaine in the nation's history when 23 tons were found aboard the ship "Esmeralda."

The announcement came on the same day that officials in Guadalajara said they had confiscated more than 2 tons of cocaine there in January, according to the state-run Notimex news agency.

from the : http://cnn.com

Sunday, 15 February 2009 I love Alfie and he took my virginity. There has been nobody else

Mum ... Chantelle in uniform holds baby

Lee Thompson

THE girlfriend of Alfie Patten yesterday rubbished claims the 13-year-old did not father her baby, insisting: “There has been no one else.”

Tearful schoolgirl Chantelle Steadman hit out as TWO other youngsters bragged THEY could be the dads of newborn Maisie.

By LUCY HAGAN I Hagan@the-sun.co.uk